A case study of asthma care in school age children using nurse-coordinated multidisciplinary collaborative practices

Procter, Susan; Brooks, Fiona; Wilson, Patricia M.; Crouchman, Carolyn; Kendall, Sally

doi:10.2147/jmdh.s71030

Cited by 8 publications

(4 citation statements)

References 21 publications

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“…The nurse acts as an articulator regarding information concerning users and those related to service standards (16) , appearing in this and in several scenarios shown by the literature as the professional who articulates, coordinates and conducts care (7)(8)(9)17) . This includes identifying needs and demonstrating problem solving skills.…”

Section: Discussionmentioning

confidence: 99%

“…In this arrangement, nurses coordinate care and, therefore, it is their responsibility to provide quality care (7)(8)(9) and promote interaction of different professionals (8) . To do so, nurses use a management model that directs nursing care, allows interdisciplinary relationships and provides support to the supervisors, administrators and other staff (10) , contributing to the effectiveness of the managerial model.…”

Section: Introductionmentioning

confidence: 99%

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Integrality of care: challenges for the nurse practice

et al. 2017

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Objective: to understand the role of the nurse in the collegiate management model of a teaching hospital, in the integrality of care perspective. Method: a single case study with multiple units of analysis, with the theoretical proposition "integrality of care is a result of the care offered to the user by multiple professionals, including the nurse". Data were obtained in a functional unit of a teaching hospital through interviews with 13 nurses in a non-participant observation and document analysis. Results: from the analytical categories emerged subcategories that allowed understanding that the nurse promotes integrality of care through nursing management, team work and integration of services. Final considerations: the theoretical proposition was confi rmed and it was verifi ed that the nursing management focus on attending to health care needs and is a strategy to provide integrality of care. Descriptors: Health Systems; Comprehensive Health Care; Nursing; Hospitals, Teaching; Hospital Administration. RESUMOObjetivo: apreender a atuação do enfermeiro no modelo de gestão colegiada de um hospital de ensino na perspectiva do cuidado integral. Método: estudo de caso único de múltiplas unidades de análise, com a proposição teórica "o cuidado integral resulta dos vários cuidados oferecidos ao usuário pelos vários profi ssionais, dentre esses o enfermeiro". Os dados foram obtidos em uma unidade funcional de um hospital de ensino por meio de entrevistas com 13 enfermeiros, observação não participante e análise de documentos. Resultados: a partir das categorias analíticas, emergiram subcategorias que possibilitaram apreender que o enfermeiro promove o cuidado integral por meio do gerenciamento de enfermagem, do trabalho em equipe e da integração entre os serviços. Considerações fi nais: ratifi cou-se a proposição teórica e constatou-se que o gerenciamento de enfermagem volta-se para o atendimento das necessidades de saúde e é uma estratégia para o cuidado integral. Descritores: Sistemas de Saúde; Assistência Integral à Saúde; Enfermagem; Hospitais de Ensino, Gestão Hospitalar. RESUMEN Objetivo: discurrir sobre la actuación del enfermero en el modelo de gestión colegiada de un hospital-escuela, bajo la perspectiva de la atención integral. Método: estudio de caso único de múltiples unidades de análisis con la proposición teórica "el cuidado integral es el resultante de diversos cuidados que varios profesionales, entre ellos el enfermero, ofrecen al usuario". Mediante entrevista a 13 enfermeros, observación no participante y análisis de documentos, se obtuvieron los datos necesarios en una unidad funcional de un hospital-escuela. Resultados: a partir de las categorías analíticas, emergieron subcategorías que consideran al enfermero como un promotor del cuidado integral por medio del gerenciamiento de la enfermería, del trabajo en equipo y de la integración entre los servicios. Consideraciones fi nales: se ratifi có la proposición teórica y se constató que el gerenciamiento de enfermería está volcado a la atenc...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Integrality of care: challenges for the nurse practice

et al. 2017

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“…This positive outcome confirms the recognition that most public health problems, such as pregnancy, among secondary school students call for the contribution of various sectors of the society. 30 …”

Section: Discussionmentioning

confidence: 99%

A model to facilitate collaborative social support for pregnant students in secondary schools

Matlala¹

2017

JMDH

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Pregnancy among secondary school students remains a public health problem and is associated with school dropout as well as poor maternal and child health outcomes. Schools in South Africa no longer expel pregnant students as was the case before 2000. Instead, the government encourages them to remain in class to complete their education, but pregnant students often face stigma, and some drop out of school as a result. To remain in class and access antenatal care, pregnant students require social support from teachers, parents and professional nurses. Unfortunately, teachers, parents and professional nurses support pregnant students on an ad hoc basis, and this calls for a model to facilitate collaborative social support. The purpose of this paper is to present and describe a model to facilitate collaborative social support for pregnant students attending secondary schools in South Africa, using the model description steps of Chinn and Kramer. The model is designed as a tool to enable pregnant students to remain in school, attend antenatal care and in the end, deliver healthy babies. The professional nurse, as a member and leader of the school health team which visits secondary schools to provide a package of school health services, is the agent or facilitator of the model.

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“…The effect of nurse-managed protocols has been studied in many chronic disease conditions. In other specialty areas, nurse-led care teams form a model for patient engagement that has been successfully implemented to improve treatment in a wide range of disease states and health care needs, including diabetes (Watts & Sood, 2016), asthma (Procter, Brooks, Wilson, Crouchman, & Kendall, 2015), oncology (Stahlke Wall & Rawson, 2016), and the transition from acute to residential long-term care (Carter et al, 2016). A recently published meta-analysis examined nurse-led interventions in the care of patients with diabetes, hypertension, and hyperlipidemia and showed that the team approach can have positive effects on improvement in objective measurements of laboratory values and blood pressure and in treatment adherence (Shaw et al, 2014).…”

Section: Nurse-led Care Of Oud Treatmentmentioning

confidence: 99%

Psychoeducational Strategies During Outpatient Transition to Extended-Release Naltrexone for Patients With Opioid Use Disorder

Zavod

Akerman

Snow

et al. 2018

J Am Psychiatr Nurses Assoc

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BACKGROUND: The United States is experiencing an opioid epidemic. Better approaches to encourage outpatient utilization of Food and Drug Administration–approved medications for the treatment of opioid use disorder, including extended-release naltrexone (XR-NTX), are needed. Withdrawal management before initiation of XR-NTX is challenging for clinicians and patients and represents a major barrier to treatment. AIMS: To review psychoeducational strategies that support patients during outpatient withdrawal management and transition to XR-NTX. METHOD: We reviewed the literature on psychoeducational strategies used during opioid withdrawal management and described the role that nurses can play in facilitating transition to XR-NTX in a Phase 3, placebo-controlled, outpatient trial comparing induction regimens. RESULTS: Supportive interventions include general psychoeducation on addiction, overcoming ambivalence, treatment adherence, anticipating XR-NTX induction, managing psychological and physiological aspects of opioid withdrawal, risks of opioid use, and sources of support during recovery. CONCLUSIONS: Psychoeducational strategies led by nurses can promote treatment adherence during withdrawal management and induction onto XR-NTX.

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A case study of asthma care in school age children using nurse-coordinated multidisciplinary collaborative practices

Cited by 8 publications

References 21 publications

Integrality of care: challenges for the nurse practice

Integrality of care: challenges for the nurse practice

A model to facilitate collaborative social support for pregnant students in secondary schools

Psychoeducational Strategies During Outpatient Transition to Extended-Release Naltrexone for Patients With Opioid Use Disorder

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